0001209191-16-092544.txt : 20160120 0001209191-16-092544.hdr.sgml : 20160120 20160120160220 ACCESSION NUMBER: 0001209191-16-092544 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160119 FILED AS OF DATE: 20160120 DATE AS OF CHANGE: 20160120 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CIVISTA BANCSHARES, INC. CENTRAL INDEX KEY: 0000944745 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 341558688 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 EAST WATER ST STREET 2: P O BOX 5016 CITY: SANDUSKY STATE: OH ZIP: 44870 BUSINESS PHONE: 4196254121 MAIL ADDRESS: STREET 1: 100 EAST WATER ST STREET 2: P O BOX 5016 CITY: SANDUSKY STATE: OH ZIP: 44870 FORMER COMPANY: FORMER CONFORMED NAME: FIRST CITIZENS BANC CORP /OH DATE OF NAME CHANGE: 19950502 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Boerger Barry W CENTRAL INDEX KEY: 0001421685 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 161351047 MAIL ADDRESS: STREET 1: 12175 URBANNA WOODSTOCK PK CITY: MILFORD CENTER STATE: OH ZIP: 43045 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-01-19 0 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001421685 Boerger Barry W 12175 URBANNA WOODSTOCK PK MILFORD CENTER OH 43045 0 0 0 1 Subsidiary Director Common 2016-01-19 4 A 0 210 0.00 A 210 D Common 1774 I Trusts Common 6526 I SEP IRA Stock award granted from First Citizens Banc Corp's 2014 Incentive Plan /s/Barry W Boerger 2016-01-20